PENN NEUROLOGIC ASSOCIATES (NPI# 1689627648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689627648 |
| Entity Type | Organization |
| Organization Name | PENN NEUROLOGIC ASSOCIATES |
| Practice Address |
920 Lawn Ave The Summit Sellersville PA 18960-1560 |
| Practice Telephone | 2152574900 |
| Practice Fax Number | 2152576681 |
| Mailing Telephone | 2152574900 |
| Mailing Fax Number | 2152576681 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. RICHARD ALAN BUCKLER (PHYSICIAN) |
| Authorized Official Telephone | 2152574900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD040916E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE HEALTH PLAN EAST | 0022227000 | 01 |
| PA | AETNA COMERCIAL | 5740334 | 01 |
| PA | CIGNA | 0085270 | 01 |
| PA | 0012941560002 | 05 | |
| PA | KEYSTONE MERCY | 1001358 | 01 |
| PA | US HEALTHCARE | 0055941 | 01 |
| PA | CAPITAL BLUE CROSS | 03195000 | 01 |
| Street Address |
920 LAWN AVE THE SUMMIT |
| City | SELLERSVILLE |
| State | PA |
| Zip Code | 18960-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334793 | Sandra Harris-corrado | Internal Medicine | 920 Lawn Ave, Ste 4, Sellersville, PA 18960-1560 | 2005-05-28 |
| 1710221684 | Ryan Whitcomb | Nurse Practitioner | 920 Lawn Ave, Ste 5, Sellersville, PA 18960-1560 | 2012-11-16 |
| 1215197124 | Anishee Shah Undavia | Psychiatry & Neurology | 920 Lawn Ave, Suite 5, Sellersville, PA 18960-1560 | 2008-06-13 |
| 1134399389 | Jin H Park Dmd and Associates PC | Dentist | 920 Lawn Ave, Ste A2, Sellersville, PA 18960-1560 | 2008-03-04 |
| 1265657027 | Jin H Park | Dentist | 920 Lawn Ave, Sellersville, PA 18960-1560 | 2007-04-16 |
| 1376698092 | Grand View Hospital | Obstetrics & Gynecology | 920 Lawn Ave, Lower Level, Sellersville, PA 18960-1560 | 2007-01-24 |
| 1316010101 | Walter G. Zemel | Otolaryngology | 920 Lawn Ave, The Summit, Sellersville, PA 18960-1560 | 2006-11-17 |
| 1679679476 | Martin J. Fowler Jr. | Psychiatry & Neurology | 920 Lawn Ave, Ste 5, Sellersville, PA 18960-1560 | 2006-09-16 |
| 1346262359 | Pennridge Obgyn Associates | Obstetrics & Gynecology | 920 Lawn Ave, Sellersville, PA 18960-1560 | 2006-07-25 |
| 1356363675 | Jay Franklin Ziegenfuss Jr. | Internal Medicine | 920 Lawn Ave, Sellersville, PA 18960-1560 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
| 1386082162 | Grand View Hospital | Nutritionist | 700 Lawn Ave Ofc 4194, Sellersville, PA 18960 | 2013-06-13 |
| 1043654619 | Fresenius Medical Care Sellersville, LLC | Clinic/Center | 1105 Bethlehem Pike, Sellersville, PA 18960 | 2013-04-25 |
| 1417206020 | Mary Ziegler | Registered Nurse | 521 Broadway Ave, Sellersville, PA 18960 | 2012-08-29 |
| 1821220542 | Leslie Osimo | Registered Nurse | 29 Boulder Drive, Sellersville, PA 18960 | 2009-08-13 |
| 1770738700 | Tina Gambale | Occupational Therapist | 5 Narothyn Rd, Sellersville, PA 18960 | 2008-11-18 |
| 1316106362 | William Vernon Spear II | Dentist | 27 Temple Ave, Sellersville, PA 18960 | 2008-06-05 |
| 1376715318 | Nancy A Fickert | Registered Nurse | 5 Lifemark Dr, Sellersville, PA 18960 | 2008-03-31 |
| 1225255730 | Barc | Intermediate Care Facility, Mentally Retarded | 2003 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-19 |
| 1073739124 | Barc | Intermediate Care Facility, Mentally Retarded | 1410 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-17 |
| Find all providers in zip 18960 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699321570 | Grand View Hospital | Psychiatry & Neurology | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2019-08-15 |
| 1215197124 | Anishee Shah Undavia | Psychiatry & Neurology | 920 Lawn Ave, Suite 5, Sellersville, PA 18960-1560 | 2008-06-13 |
| 1679679476 | Martin J. Fowler Jr. | Psychiatry & Neurology | 920 Lawn Ave, Ste 5, Sellersville, PA 18960-1560 | 2006-09-16 |
| 1881647808 | Jessica A Feldman | Psychiatry & Neurology | 920 Lawn Ave, The Summit - Suite 5, Sellersville, PA 18960-1560 | 2006-05-19 |
| 1528051257 | Xin C Wang | Psychiatry & Neurology | 920 Lawn Ave, The Summit - Suite 5, Sellersville, PA 18960-1560 | 2005-08-29 |
| 1841283645 | David J Bayard | Psychiatry & Neurology | 920 Lawn Ave, The Summit, Sellersville, PA 18960-1560 | 2005-08-26 |
| 1528051224 | Richard Alan Buckler | Psychiatry & Neurology | 920 Lawn Ave, The Summit - Suite 5, Sellersville, PA 18960-1560 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624584 | Armstrong County Memorial Hospital | Psychiatry & Neurology | 500 Medical Arts Bldg Ste 510, Kittanning, PA 16201-7137 | 2020-06-19 |
| 1174149975 | Somerset Health Services, Inc. | Psychiatry & Neurology | 126 E Church St Ste 2300, Somerset, PA 15501-2272 | 2020-06-18 |
| 1730725771 | Jbj Investments LLC | Psychiatry & Neurology | 2170 Ferncroft Ln, Chester Springs, PA 19425-3846 | 2019-11-25 |
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1629636790 | Catherine Rachel Craven | Psychiatry & Neurology | 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 | 2019-06-03 |
| 1073170569 | Charles P. Gennaula, M.d., P.C. | Psychiatry & Neurology | 100 Peasant Village Ln Ste 100, Rostraver Township, PA 15012-4333 | 2019-05-21 |
| 1902460876 | Pearlmed Pllc | Psychiatry & Neurology | 1510 Chester Pike Ste 160, Eddystone, PA 19022-1375 | 2019-04-26 |
| 1144787094 | Shobha Asthana Md PC | Psychiatry & Neurology | 100 Peasant Village Ln Ste 103, Rostraver Township, PA 15012-4333 | 2019-02-27 |
| 1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
| 1235609959 | Lower Merion Neurology, PC | Psychiatry & Neurology | 100 E Lancaster Ave Ste 161, Wynnewood, PA 19096-3427 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
| City | SELLERSVILLE |
| Zip Code | 18960 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.